NPI: 1720580301 · PEPPERELL, MA 01463 · Dental Clinic/Center · NPI assigned 02/28/2018
| Authorized Official | PATHAK-MOHOLKAR, APARNA (PRESIDENT) |
| NPI Enumeration Date | 02/28/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 284 | $10K |
| 2019 | 387 | $12K |
| 2020 | 167 | $5K |
| 2021 | 227 | $8K |
| 2022 | 103 | $3K |
| 2023 | 13 | $333.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 343 | 325 | $17K |
| D0120 | Periodic oral evaluation - established patient | 648 | 609 | $15K |
| D1206 | Topical application of fluoride varnish | 117 | 110 | $3K |
| D1120 | Prophylaxis - child | 28 | 26 | $1K |
| D0274 | Bitewings - four radiographic images | 25 | 24 | $820.00 |
| D0220 | Intraoral - periapical first radiographic image | 20 | 13 | $206.00 |